“As to his speech, since the accident he has suffered from two main problems namely stammering and the inability on occasions to find and say the word he wishes to use. His speech problems have improved in the last year or so but before that it was bad. However, David still has difficulties on occasions particularly if he is under stress and in pain.”
“From a psychological point of view there has been some improvement. The “flash-backs” and vivid memories remain but they are much less frequent and disturbing and he continues to avoid driving or travelling in the rear seat of a vehicle. Falling asleep remains difficult taking up to two and half hours and he wakes frequently. Reduced energy levels mean that when he finally gets up he does so in stages i.e. brush teeth, go and lay down, shave, go and lay down, etc. He is no longer able to race into the day, as he would have done prior to the accident. In fact, he can no longer race to do anything. He still has periods of irritability but this is diminishing, concentrating remains difficult but again has improved. Mr Collins is less hypervigilant but despite his efforts he remains a terrible passenger, constantly pointing out perceived hazards and anticipating an accident at every turn. He continues to have an exaggerated startle response but this to has diminished ”